I've had issues with a Keloid on my left ear for years. Painful injections did not decrease the size of the keloid. I decided to try the Laser to have the keloid removed. I went on the internet looking for a doctor that specialized in dark skin and came across Belaray Dermatology. I had surgery in February and I am very happy with the results.
Facials with extractions are fine to do while on Accutane as long as the esthetician helping you is GENTLE. You do not want to be too aggressive, as over zealous extractions could lead to scarring.
Getting a facial can be enjoyable and help you look your best. However, be sure that your esthetician is using high quality products and is gentle with your skin. Too aggressive extractions, etc can cause persistent dark spots on patients with darker toned skin.
The most cost effective treatment for your keloid will be one that minimizes the risk of the keloid coming back. Be sure to find a doctor with experience in treating these. The specific cost will depend upon your geographic location, and complexity of the keloid that needs treatment.
Be very cautious about doing anything to traumatize or irritate a keloid scar. It may grow even larger. It is best to find a surgeon with expertise in management of keloids, as in the right hands you could do very well.
A combination of excision (preferably with radio-frequency surgery), and steroid injection is a good start. Postoperative and routine steroid injections can be beneficial as well. You may want to discuss with your surgeon the risks and benefits of healing by second intent (ie: without stitches)
